The psychiatric-mental health nurse is performing the admission assessment of a client who is being admitted for depression and anxiety. The client reports a long history of excessive alcohol use and the recent loss of her job. When the nurse asks whether she has a religious preference or affiliation, the client states. "I used to believe in God, but I do not anymore. I do not understand how God can allow terrible things to keep happening to me.' Which nursing diagnoses will the nurse include in the client’s care plan?
Risk for lack of faith
Risk for spiritual distress
Risk for impaired religiosity
Risk for impaired spirituality
The Correct Answer is B
The client's statement about losing faith in God and not understanding how God could allow bad things to happen to her suggests that she is experiencing spiritual distress. This can be common among individuals experiencing depression and anxiety, as they may struggle to find meaning or purpose in their lives.
Option a, Risk for lack of faith, is not a recognized nursing diagnosis.
Option c, Risk for impaired religiosity, may be more appropriate for a client who has experienced a significant change in their religious practices or beliefs but does not necessarily indicate distress.
Option d, Risk for impaired spirituality, could be appropriate but may be too broad and not specific enough to the client's situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Informed consent is a process in which a healthcare provider explains the risks, benefits, and alternatives of a proposed treatment or procedure to a patient. The patient must be given enough information to make an informed decision about whether to proceed with the treatment or procedure. This includes information about the expected benefits of the treatment or procedure. It is important for patients to understand the potential benefits so that they can weigh them against the potential risks and make an informed decision
Correct Answer is C
Explanation
The nurse’s action of placing the client in the seclusion room until he admits responsibility for the fight in the day room could be viewed as false imprisonment. False imprisonment is the unlawful restraint of a person against their will. In this case, the nurse is using the seclusion room to restrain the client against their will and is conditioning their release on admitting responsibility for the fight, which could be considered unlawful.
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